Epidemiology of intertrochanteric hip fractures at a state hospital in Malaysia

Abstract

Background: Intertrochanteric fractures are amongst the most common hip fractures in older adults and are most commonly caused by low-energy trauma. This study aims to identify the causes, demographic information, and presence of comorbidities among patients admitted with intertrochanteric hip fractures at a state hospital in Malaysia. Methods: Patients with intertrochanteric fractures presenting to Hospital Tuanku Ja’afar Seremban, Malaysia, from January 2019 to December 2021 were identified from a retrospective trauma database. Patient data were analyzed using IBM SPSS version 28 for logistic regression. Statistical significance was set at p<0.05. Results: A total of 306 patients were included in this study. The mean age of patients was 69.9 ± 16.4 years, with 51.6% female. 78.8% (n= 241/306) of patients had comorbidities. Most fractures were caused by a same-level fall (67.3%) at the patient’s accommodation. 258 patients underwent surgical management, 17 developed postoperative complications, and had underlying comorbidities. Conclusion: Intertrochanteric fractures are most commonly seen in females and the elderly population. Early screening of comorbidities and implementing fall prevention strategies may help reduce fracture incidence.